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Home My WebLink About071116_ca08615 Sheridan Street Peart Townsend, WA 98368 www. Jeff ersonCountyPublicHealth,org munrawmUJIM JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS TO: FROM: DATE: SUBJECT: AGENDA REQUEST Board of County Commissioners Philip Morley, County Administrator Julia Danskin, Public Health Manager 7-- ll zo�� Agenda Item — Agency Agreement — Division of Behavioral Health and Recovery with DSHS A-2, July 1, 2015, 2016 — June 30, 2017; $(6,000.) for a total of $173,559 STATEMENT OF ISSUE: Jefferson County Public Health is requesting Board approval of the Agency Agreement — Division of Behavioral Health and Recovery (DBI -IR) with DSHS, July 1, 2015 — June 30, 2017; $(6,000) for a total of $173,559. ANALYSIS/ STRATEGIC GOALS11P O`S and CON'S. This ongoing contract with DBHR provides Federal and State funding through Substance Abuse Block Grant (SABG) CFDA 93.959, Partnership for Success CFDA 93.243 to coordinate and implement prevention programs designed to prevent or delay the misuse and abuse of alcohol, marijuana, tobacco, and other drugs among youth up to age 18 and adults ages 18-25. The DBHR contract funds Community Prevention and Wellness Initiatives and Community Coalition activities including coordination, prevention, and training based on evidence -based practices as identified in the Excellence in Prevention Strategies List. This amendment to the current contract, 1563-42479, (reference 15-152 Jefferson County Civil PDA), reduces by ($6000.) funding from the Dedicated Marijuana Account (DMA) program and strategy training and implementation. These funds were unspent in fiscal 2016 and do not carryover. FISCAL IMPACT COST BENEFIT ANALYSIS: This contract is fully funded through Federal Substance Abuse Block Grant, CFDA 93.959 and Partnership for Success CFDA 93.243, and the state's general fund and reduces by ($6000) the amount of funding for a total of $173,559. RECOMMENDATION: JCPH management request approval of the Agency Agreement — Division of Behavioral Health and Recovery with DSHS A-2 which reduces the Dedicated Marijuana Account by ($6000), October 10, 2015 — June 30, 2017; for a total of $173,599. REVIEW,ED BY: Ahili lorley, y , in ty ifffilnistrator Date Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (f) Always workingfor a saferhealthier community (f) 360-379-4487 DSHS Agreement Number COUNTY PROGRAM AGREEMENT 1563-42479 Department of Social 71 n & Health Services AMENDMENT Amendment No.. Transforming rues Prevention Services 02 This Program Agreement Amendment is by and between the State of Washington Administration or Division Department of Social and Health Services (DSHS) and the County identified below. Agreement Number Click here to enter text. County Agreement Number DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER CCS CONTRACT CODE Behavioral Health Division of Behavioral 1223 1223 Administration Health and Recovery DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Lucilla Mendoza 4500 10th Ave SE Lacev, WA 98503- DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL (360)725-3760 Click here to enter text mendo120-dshs.wa.gov COUNTY NAME COUNTY ADDRESS Jefferson County 615 Sheridan St Port Townsend, WA 98368- dOUNTY FEDERAL EMPLOYER IDENTIFICATION COUNTY CONTACT NAME NUMBER Julia Danskin COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX COUNTY CONTACT E-MAIL (360) 385-9420 (360) 385-9401 Idanskin@co efferson.wa.us IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS AGREEMENT? 93.959 Yes AMENDMENT START DATE PROGRAM AGREEMENT END DATE 06/01/2016 06/30/2017 PRIOR MAXIMUM PROGRAM AGREEMENT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM PROGRAM AGREEMENT AMOUNT AMOUNT $179,559.00 $-6,000.00 $173,559.00 REASON FOR AMENDMENT; CHANGE OR CORRECT MAXIMUM CONTRACT AMOUNT EXHIBITS. When the box below is marked with a check (4) or an X, the following Exhibits are attached and are incorporated into this Program Agreement Amendment by reference: [] Exhibits s eci This Program Agreement. Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms and conditions agreed upon by the parties as changes to the original Program Agreement. No other understandings or representations, oral or otherwise, regarding the subject matter of this Program Agreement Amendment shall be deemed to exist or bind the parties. All other terms and conditions of the original Program Agreement remain in full force and effect. The parties signing below warrant that they have read and understand this Program Agreement Amendment, and have aut6ram Agreement Amendment. COUNTY SIGNATURE(S) PRGNtED NAME(S) AND TITLE(S) DATES) SIGNED DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED BHA Contracts AP ra t form only DSHS Central Contracts and Legal Services 1644CS County Program Agreement Amendment (10-28-2015) Page 1 e er orr "o, Prosecutor's Pffice David Alvarez, Chief Civil DPA This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows: Amend the maximum contract consideration to reduce by $6,666, therefore decreasing the maximum consideration from $179,559 to $173,659. The Awards and Revenues (A&R) is attached as Exhibit B. All other terms and conditions of this Program Agreement remain in full force and effect. DSHS Central Contracts and Legal Services 1644CS County Program Agreement Amendment (10-28-2015) Page 2 Exhibit B AWARD AND REVENUES 2015-2017 Biennium CONTRACTOR NAME Jefferson County CONTRACT NUMBER 1563-42479 COUNTY Jefferson The above named Contractor is hereby awarded the following amounts for the purposes listed. REVENUE 334.04.6X GF -State- Admin (for SABG Prevention) $2„617 $2,617 $5,234 334.04.6X Dedicated Marijuana Account -Fund 315 -State _ _ ., ® _ $17.364 $23,364 . $40,728 333.92.43 PFS-Total$53,971 $13,480 — $C $67,401 m.. ......... Year 2 FFY14 (7.1.15-9.29.15) $13,480 $13,480 Year 3 FFY15 (9.30.15-9.29.16) $40,441 $13,480 $53,921 Year 4 FFY16 (9.30.16-6.30.17) Total Federal Funds $84,019 $43,578 $0 $127,597 Total State Funds $19,981 $25,981 $0 $45,962 .Tm. �OTAL ALL AWARDS $104,000 $... $173,559 Federal CFDA. SABG-Substance Abuse Block Grant -CFDA 93.959 Substance Abuse and Mental Health Services Administration (SAMHSA) PFS -Partnership for Success-CFDA 93.243 Substance Abuse and Mental Health Services Administration (SAMHSA) 2015-17 Jefferson Amend #2 JUL woshiogion Stile COUNTY PROGRAM AGREEMENT Department of Social AM Health Sen!ices AMENDMENT 7 . . . ........ ... . . Prevention Services Transforming lives This Program Agreement Amendment is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, DSHS ADMINISTRATION Behavioral Health and Service !!Intrafion 6Sli',,,'ON I'ACT —� E AND TITLE Lucilla Mendoza DSHS CONTACT TE 360)725-3760 COUNTY COUNTY NAME Jefferson County VJUMBER DSHS DIVISION DSHS lNIDEX NUMBER Division of Behavioral 1223 Health and Recovor -y— DS'r IS CONTACT ADDRESS 4500 10th Ave SE Lace WA 98503- �DSHS CON fACTFAX COUNTY ADDRESS 615 Sheridan St Port Townsend, WA 98368- COUN1Y GON'lACT NAME DSHS Agreement Number 1563-42479 Amendment No. 01 Administration or Division Agreement Number Click here to enter text. County Agreement Number CC,S, CONTRACT CODE 1223 6R( --dbNTAGT E-MAIL mendo12C@dshs.wa.gov I jdanskin@coJefferson,wa.us CFDA NUMBERS DATE -CREASETOTAL MAXiMUM P130GRAM AGREE -----T—AM0—UNT $179,559-00 REASON FOR AMENDMENT; CHANGE OR CORRECT CONTRACT TERMS OR SOW, SEE PAGE WWEXW[BIT9. When ihe box below ismarkeek (4) othe folowing Exhibits are attached and are incorporated into this Program Agreement Amendment by reference; L-] Exhibits (��if Yh_Is "Pro —gra�n� Agreement Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms and conditions agreed upon by the parties as changes to the on Program Agreement. No other understandings or representations, oral or otherwise, regarding the subject matter of this Program Agreement Amendment shall be deemed to exist or bind the parties. All other terms and conditions of the original Program Agreement remain in full force and effect. The parties signing below warrant that they have read and understand this Program Agreement Amendment, and have authority, tq enter intq.this P ra A reement Amendment. 'SIGNED ---------'--DATE(S) S PRINTEU'N/�mr-(s) AND��—OUWNTY SiGNATUR 'S DSHS SIGNA'1'URE A Contracts A, proved as to form only , P4 0//6 All I �w I ersorCo. tosccutor's e DSHS Central Contracts and Legal Services David Alvarez, Chief Civil 1644CS County Program Agreement Amendment (10-28-2015) I 1 P4 '31 DA -1 E SIGNED RECEIVED DEC 04 2015 31-11SIA Budget & Finance Page I uliE Danskin N p� �ONTACT[ 'E L Ll'lIONff COW Y CONTACT F A -X (360) 385-9420 .�360385-9401 IS THE COUNTY A SUBRECIFTIENT FOR PURPOSES OF I HIS PROGRAM AGREEMENT? No A-M—EWDfiTT STARTMD PROGRAM AGREEMENT El' 10/15/2015 06/30/2017 -6R -MA—>C1I�-LJM 1N';, LASE AMOUNT $132,831.00 $46,728.00 DSHS Agreement Number 1563-42479 Amendment No. 01 Administration or Division Agreement Number Click here to enter text. County Agreement Number CC,S, CONTRACT CODE 1223 6R( --dbNTAGT E-MAIL mendo12C@dshs.wa.gov I jdanskin@coJefferson,wa.us CFDA NUMBERS DATE -CREASETOTAL MAXiMUM P130GRAM AGREE -----T—AM0—UNT $179,559-00 REASON FOR AMENDMENT; CHANGE OR CORRECT CONTRACT TERMS OR SOW, SEE PAGE WWEXW[BIT9. When ihe box below ismarkeek (4) othe folowing Exhibits are attached and are incorporated into this Program Agreement Amendment by reference; L-] Exhibits (��if Yh_Is "Pro —gra�n� Agreement Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms and conditions agreed upon by the parties as changes to the on Program Agreement. No other understandings or representations, oral or otherwise, regarding the subject matter of this Program Agreement Amendment shall be deemed to exist or bind the parties. All other terms and conditions of the original Program Agreement remain in full force and effect. The parties signing below warrant that they have read and understand this Program Agreement Amendment, and have authority, tq enter intq.this P ra A reement Amendment. 'SIGNED ---------'--DATE(S) S PRINTEU'N/�mr-(s) AND��—OUWNTY SiGNATUR 'S DSHS SIGNA'1'URE A Contracts A, proved as to form only , P4 0//6 All I �w I ersorCo. tosccutor's e DSHS Central Contracts and Legal Services David Alvarez, Chief Civil 1644CS County Program Agreement Amendment (10-28-2015) I 1 P4 '31 DA -1 E SIGNED RECEIVED DEC 04 2015 31-11SIA Budget & Finance Page I veistinQIPr, slice COUNTY (— Department of Social 1 & Health SeA-kes PROGRAM AGREEMENT Transforming lives Prevention Services This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below, and is issued in conjunction with a County and DSHS Agreement On _General Terms and Conditions, which is incorporated by reference.. DSH§mA®MINISTRATIONmmmm IT -...__. DSHS DIVISION _.__DSHS INDEX NUMBER Behavioral Health and Service Inttegratloo n DSHS CONTACT NAME AND TITLE Lucilla Mendoza Prevention Services Lead DSHS CONTACT TELEPHONE (360)725-3760 COUNTY NAME Jefferson County NUMBER Division of Behavioral Health1223 I and Recovery EMPLOYER IDENTIFICATION COUNTY CONTACT TELEPHO (360) 385-9420 IS THE COUNTY A SUBRECIPI AGREEMENT? DSHS CONTACT ADDRESS 4500 10th Ave SE Lacev, WA 98503 CONTACT FAX COUNTY ADDRESS 615 Sheridan St Port Townsend, WA 98368- -5 UNTrY CON II AC.,TNAI'v9' i"7 DSHS Agreement Number Administration or Division Agreement Number County Agreement Number 1644CS-63 DSHS CONTACT E-MAIL mendo12(aD,dshs.wa.q Julia Dariskin _ TY CONTACT FAX_.... COUNTY CONTACT E 385-9401 idanskinRco.jeffer THIS PROGRAM CFDA NUMBERS wa.us 93.959 Yes ROGRAM AGREEMENTSTART DATE PROGRAM AGREEMENT END DATE _ MAXIMUM PROGRAM AGREEMENT AMOUNT 15 the box below is marked with an X, the $132,831.00 ,07/01/205 When �...... .� he following Exhibits are attached and •••� EXHIBIT are incorporated into this County Program Agreement by reference, ® Exhibits (specify): Exhibit A: Data Security; Exhibit B: Awards and Revenue nNo Exhibits. The terms and conditions of this Contract are an Integration and representation of the final, entire a us �._ _... and exclusive understanding between the parties superseding and merging all previous agreements, writings, and communications, oral or otherwise, regarding the subject matter of this Contract. The parties signing below represent that they have read and understand this Contract, and have the authority to execute this Contract. This Contract shall be binding on DSHS only upon signature by DSHS. OUN.,.. T S IGNA` URE PRINTED r.A, - ,(r") ,,,�' ^�AMt:(;a) AND TI'G"gnl�(S',y DATES) SIGNED SIGMA DSHS Central Contract Services 1644CS Prevention Services - County (6-26-2015) L-Ovi Sat- tlV/-Yv PRINTED NAME AND 1 I H E BHSIA Contracts BFINA Budget & F-A0aaPC° pprovetd as t form only tv- Jc fc:rson Co. Pros c tor's D a .e David Alvarez, Chief Civil A ISI